Active NPI
Eric M Larson, M.D.
- Ophthalmology Physician
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 45716
- Practice address
- 1885 West Pointe Dr
Oshkosh, WI 54902-4174 - Phone
- (920) 232-6550
- Fax
- (920) 232-6552
- NPI assigned
- Jan 23, 2006
- Last updated
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 45716 | WI | Primary |
Addresses
Primary practice location
1885 West Pointe Dr
Oshkosh, WI 54902-4174
Mailing address
PO Box 2723
Oshkosh, WI 54903-2723
Phone (920) 232-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34413200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Minnesota Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1885 W Pointe Dr
Oshkosh, WI 54902-4174
Phone (920) 232-6550
210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-7000
2130 S Washburn St
Oshkosh, WI 54904-8949
Phone (920) 232-6550
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-1313
269 Memorial Dr
Suite 102
Berlin, WI 54923-1243
Phone (800) 876-8182
355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone (800) 876-8182
501 Doctors CT
Oshkosh, WI 54901-2025
Phone (920) 236-3550
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000
900 Riverside Dr
Waupaca, WI 54981-1983
Phone (920) 232-6550
Hospital & facility affiliations
- Thedacare Medical Center-Waupaca
- Aurora Medical Ctr Oshkosh
- Ascension NE Wisconsin - St Elizabeth Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.33 of 100
- Quality
- 98.33
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45716 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optivision Eye Care LLP | Ophthalmology | Current | Accepting new patients |
| Optivision Eye Care LLP | Current | Accepting new patients | |
| Northeast Wisconsin Vision Center, LTD. | Ophthalmology | Current | Accepting new patients |
| Northeast Wisconsin Vision Center, LTD | Ophthalmology | Current | Accepting new patients |
| Ambulatory Surgical Center, LLC | Current | Accepting new patients |
Locations
269 Memorial Dr
Ste 102
Berlin, WI 54923
Phone (800) 876-8182
210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000
355 N Peters Ave
Fond du Lac, WI 54935
Phone (920) 921-7121
1885 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 232-6550
2130 S Washburn St
Oshkosh, WI 54904
Phone (920) 232-6550
900 Riverside Dr
Waupaca, WI 54981
Phone (920) 232-6550
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Oshkosh, WI
- NPI 1295715415
-
- Ambulatory Surgical Clinic/Center
- Oshkosh, WI
- NPI 1891717823
-
- Eyewear Supplier
- Appleton, WI
- NPI 1073665527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1275513467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2723",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549032723",
"telephone_number": "920-232-6550",
"fax_number": "920-232-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 WEST POINTE DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549024174",
"telephone_number": "920-232-6550",
"fax_number": "920-232-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ERIC",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "45716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34413200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.